Common Contracts

1 similar Telehealth Consent Agreement contracts

Telehealth Consent – Page 1 of 2 Rev. 4/2020 To our clients and families: Thank you for choosing us for your telehealth care.
Telehealth Consent Agreement • April 14th, 2020

Clients and families are essential participants in health care and we want you to understand your rights and responsibilities while receiving care from us. If you have any questions about this form, please ask your provider. If you are a parent/legally-authorized representative of a child, please read this agreement with the understanding that “I” and “me” means the child.

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